Provider First Line Business Practice Location Address:
510 E SOLA ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93103-2211
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-705-0512
Provider Business Practice Location Address Fax Number:
808-568-0693
Provider Enumeration Date:
06/01/2017